- Anxiety and panic support
- Skills-based approach
- Experienced LCSW
About Roxy
Roxy Mico is a licensed clinical social worker (LCSW) practicing in Hawaii with more than 32 years of experience. She helps people who are struggling with anxiety, panic attacks, depression, stress, and relationship problems. She also works with clients facing trauma, addictions, sleep difficulties, and self-esteem challenges.
Roxy uses practical, straightforward methods to help people cope and make changes. She draws on Cognitive Behavioral Therapy and Dialectical Behavior Therapy ideas to teach skills for managing intense emotions and shifting unhelpful thinking. Sessions focus on small, doable steps clients can try between meetings.
Her style is collaborative and direct. She listens for the problems that matter most, then tailors tools and exercises to fit each person’s life. Clients learn concrete skills for handling panic, improving communication, and reducing workplace or family stress.
Roxy has long experience with trauma recovery and work-related stress. She supports people processing sexual assault, domestic violence, post-traumatic stress, and other difficult histories. She also helps people dealing with life transitions such as divorce, aging, or career change.
People often come for help with specific problems like panic disorder and panic attacks, social anxiety, or trouble sleeping. Roxy combines practical coping strategies with skills for emotion regulation and communication, aiming to help clients feel steadier and more capable in daily life.
How CBT and DBT inform online care
Roxy commonly uses Cognitive Behavioral Therapy and Dialectical Behavior Therapy ideas. CBT helps people notice and change thinking patterns that fuel anxiety and panic, and it often includes simple exercises to try between meetings. DBT focuses on building emotion regulation, distress tolerance, and interpersonal skills that can reduce intense reactions and improve relationships.Finding the right approach is a collaborative process. The therapist will talk with each person about their goals, symptoms, and daily life, then try methods that fit those needs. If something isn’t working, she will adjust the plan together with the client.
Because the exact session formats are not specified here, confirm current online options before booking. In general, online work can make it easier to fit sessions into a busy week, cut down on travel time, allow shorter check-ins when needed, and let clients practice skills in their usual environments. Licensed professionals often use this flexibility to support consistent skill practice for issues like panic, anxiety, sleep problems, and workplace stress.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
32+ years
Listed in
Hawaii
Languages
English
Frequently asked questions
What concerns does Roxy commonly address?
She helps people with anxiety, panic attacks, depression, trauma, relationship and workplace problems, addictions, sleep issues, self-esteem, and related concerns.
What is her overall therapeutic style?
Her approach is compassionate and collaborative, focusing on practical skills and small steps clients can use between sessions.
How much clinical experience does she have?
She brings 32 years of clinical experience as a licensed social worker in Hawaii.
What credentials and location are listed?
She holds a Hawaii LCSW and practices in Hawaii.
Which languages are sessions offered in?
Sessions are offered in English only.
Can international clients work with her?
International clients are not currently accepted.
How are sessions priced?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin working with this therapist?
Click the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.